Robert E Tigelaar, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

031011 Issued in CT

Practice address

15 York St
Dermatology, Lci Room 609
New Haven, CT 06510-3221

Phone

(203) 785-4632

Fax

(203) 785-3315

NPI assigned

Nov 16, 2005

Last updated

Apr 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yale University

  dba Yale Health Center

  • Health Service Clinic/Center
  • New Haven, CT
  • NPI 1093862740
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1073595070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YORK ST",
            "address_2": "DERMATOLOGY, LCI ROOM 609",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103221",
            "telephone_number": "203-785-4632",
            "fax_number": "203-785-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 YORK ST",
            "address_2": "DERMATOLOGY, LCI ROOM 609",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103221",
            "telephone_number": "203-785-4632",
            "fax_number": "203-785-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGELAAR",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "031011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001310119",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Mary Tichy, PAC RD
• Mayanka Tickoo, M.D., M.S.
• Sunil Kumar Tickoo, RPH
• Roger Tieu
• Lauren Tiffen, DDS, CPH
• Mae K Tighe, M.D.
• Emily Tiglio
• Natasha Tillett, MD
• Clara Tilley
• Heidi Mae Gueco Timbol, M.D.

• Dermatology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.